VESSEL ORIENTATION FORM

This orientation shall be administered by the Vessel Master, or Licensed Crewmember appointed by the Master, to
any crewmember, employee, passenger, or visitor new to the vessel in accordance with regulations set forth in:

46 CFR Coast Guard, DOT: Shipping: Part 185: Operations

These provisions require that the Master or Licensed Crewmember present a verbal safety briefing that includes
all of the subjects listed in the above regulations.

Name: _________________________________ Date: _________________________________

Vessel: ________________________________

Items Covered Initials

Orientation: Preparation for Emergencies

Introduction to Supervisor

Abandonment drills and procedures

Actions to be taken in the event of fire, heavy weather, or man overboard

Alarms

Fire stations

Location of emergency exits, survival craft embarkation areas, and ring life buoys

Location of the instruction placards for life jackets and other lifesaving devices

Proper method of donning and adjusting life jackets of the types carried on the vessel

Safety equipment

Stowage location of life jackets

Other:

Policies and Procedures

Cabin # and location

Galley location / mealtimes / galley policies

Incident/ injury reporting

Housekeeping rules

Laundry Policy

Lockers and washroom locations

PPE requirements

Safety meeting policy / safety observations and suggestions

Safety procedures and policies

Telephone / internet usage

Unauthorized / restricted areas

Other:

I have covered the above items with this employee I passenger. All questions have been answered and explained.

Signature of Vessel Master or Licensed Crewmember Date

I understand all items on this form and I have been given the opportunity to ask and have my questions answered
concerning this orientation:

Signature of Employee I Passenger Date

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